DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chalk Jr, John A	DOIID	394002	NAIC NPN	333499

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/15/2000		6/30/2026
Active	Non Resident	Agent	Property	8/15/2000		6/30/2026
Inactive	Non Resident	Agent	General Lines	5/22/1996	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accident Fund Insurance Company of America	518734	Agent - Casualty	4/28/2010	8/6/2013
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/22/2013	4/25/2019
Inactive	Great American Insurance Company	301586	Agent - Property	8/22/2013	4/25/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/28/2013	4/25/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/28/2013	4/25/2019
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	3/8/2008	11/9/2010
Inactive	Old Republic Insurance Company	301225	Agent - Property	3/8/2008	11/9/2010
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	11/7/2013
Active	Starr Indemnity and Liability Company	301685	Agent - Property	11/7/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	7/30/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	5/22/1996	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	7/30/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Property	7/24/2013	7/30/2013
Inactive	Alliant Insurance Services, Inc.	551378	Agent - Casualty	7/24/2013	8/6/2013
Inactive	Barksdale Bonding & Insurance, Inc.	610716	Agent - Property	7/5/2005	3/31/2009
Inactive	Barksdale Bonding & Insurance, Inc.	610716	Agent - Casualty	7/5/2005	3/31/2009